Health in Luxembourg: Sickness and maternity insurance reserves are dwindling

“The current geopolitical and inflationary context risks further weakening the financing system for health and maternity insurance”, laments the National Health Fund (CNS) in its report on the 2023 health insurance budget (AMM), published on Wednesday. “Current income does not finance current expenses, reminds CNS. It has thus been necessary for several years to dig into the reserves accumulated between 2015 and 2019 to ensure the financing of current expenses”.

MUST will have a deficit of 55.7 million euros in 2022, partly due to departures for family reasons. Accumulated reserves will make up 21.6% of current expenditure, while the government’s target is to remain above 10%. For 2023, a new deficit of 9.7 million euros is expected, lowering the reserve to 19.8% of expenditure.

For CNS, the current economic situation of AMM requires “responsible behavior” from all actors in the system in terms of consumption of services and budget discipline, as well as “constructive cooperation” from all stakeholders to make the health system “more effective and efficient” in the coming years. For to better balance the accounts, a “financial sustainability” working group must make proposals at the next quadripartite committee.

In 2023, the Grand Duchy of Luxembourg’s health insurance system (AMM) will cover a predictable protected population of around 955,300 people, a population consisting of two-thirds of the resident protected population and one-third of the non-resident protected population.